J Korean Surg Soc.  2013 Sep;85(3):145-148. 10.4174/jkss.2013.85.3.145.

Endovascular repair of bilateral iliac artery aneurysm with branched iliac stents: case report and review of the current literature

• You JH
• Park HK
• Park CB

• KMID: 1426348
• DOI: http://doi.org/10.4174/jkss.2013.85.3.145

Abstract

Common iliac artery aneurysm (CIA) often occurs in conjunction with an abdominal aortic aneurysm (AAA), which extends into one or both CIAs in 20% to 30% of patients. Conventional endovascular treatment includes coil embolization of the internal iliac artery (IIA), followed by extension of the main bifurcated AAA stent-graft into the external iliac artery. However, complications from intentional occlusion of unilateral or bilateral IIAs are frequent and sometimes serious. Several methods try to preserve the unilateral or bilateral IIA. Here we report a case of concomitant bilateral CIA and AAA successfully treated with bilateral branched iliac stent-grafts.

Keyword

Iliac aneurysm; Endovascular procedure

MeSH Terms

Aneurysm
Aortic Aneurysm, Abdominal
Endovascular Procedures
Humans
Iliac Aneurysm
Iliac Artery

Figure

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  Fig. 1 Maximum intensity projection image shows significant aneurismal dilatation of abdominal aorta and both iliac arteries.

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  Fig. 2 Final angiogram after graft-stent implantation shows no endoleak at both common iliac and internal iliac arteries. White arrows indicate the gold markers, which orient and aid the appropriate branched stent positioning under fluoroscopic guidance.

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  Fig. 3 Maximum intensity projection and computed tomographic axial image obtained, 1 month after stent-graft placement shows patent stents without significant endoleak at abdominal aorta, common iliac arteries and internal iliac arteries.

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